Medical Record / Peer Review

Often questions are raised regarding the delivery, appropriateness
or necessity of medical treatment/services. When a face-to-face
clinical evaluation is not required or possible, Active Care Auto
will
compile a complete medical history, obtain pertain medical records and
have a qualified board certified physician, of like license and
specialty, review all medical documentation to provide a comprehensive
report with concise recommendations for denial or future management of
treatment.

The Medical Record / Peer Review may determine that an individual
is receiving treatments which are unrelated to his or her diagnosis,
or that charges are being inappropriately billed by a provider.

Distinct benefits that may be derived from a thorough and
comprehensive medical review include but are not limited to:

The determination that no causal relationship existed between the
injury/illness alleged and the treatment rendered.

The individual may achieve a shorter recovery period if a more
focused approach to his or her treatment can be implemented.

Substantial savings for the payer may be realized from a more
focused treatment regimen, from the shorter recovery period that
usually ensues, and from the identification and correction of any
inappropriately billed charges.

Or as an alternative or prelude to an Independent Medical
Examination.